Nursing Staff Providing Wound Care for Pressure Sore Injury
Nursing Staff Providing Wound Care for Pressure Sore Injury

Nursing Home Pressure Sore Injury

Residents of nursing homes have a few areas of risk that are the greatest, some like falls, being dropped from lifts, medication mistakes, sexual and physical abuse are obvious forms of neglect.  Pressure sore injury is usually neglect that occurs over a period of time and due to a failure to relieve pressure usually aggravated by other factors such as a lack of nutrition and hydration and issues with sanitation and hygiene in the subject facility.

Pressure Sore Injury is Preventable

According to federal regulations, based on the comprehensive assessment of a resident, the facility must ensure that—

(i) A resident receives care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual’s clinical condition demonstrates that they were unavoidable; and

(ii) A resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing.

Pressure Sore Injury to Skin and Underlying Tissue

Picture of Pressure Sore From Healthwise
Picture of Pressure Sore From Healthwise

According to WebMD,pressure sores (bed sores) are an injury to the skin and underlying tissue. They can range from mild reddening of the skin to severe tissue damage-and sometimes infection-that extends into muscle and bone. Pressure sores are described in four stages:

Stage 1 sores are not open wounds. The skin may be painful, but it has no breaks or tears. The skin appears reddened and does not blanch (lose color briefly when you press your finger on it and then remove your finger). In a dark-skinned person, the area may appear to be a different color than the surrounding skin, but it may not look red. Skin temperature is often warmer. And the stage 1 sore can feel either firmer or softer than the area around it.

At stage 2, the skin breaks open, wears away, or forms an ulcer, which is usually tender and painful. The sore expands into deeper layers of the skin. It can look like a scrape (abrasion), blister, or a shallow crater in the skin. Sometimes this stage looks like a blister filled with clear fluid. At this stage, some skin may be damaged beyond repair or may die.

During stage 3, the sore gets worse and extends into the tissue beneath the skin, forming a small crater. Fat may show in the sore, but not muscle, tendon, or bone.

At stage 4, the pressure sore is very deep, reaching into muscle and bone and causing extensive damage. Damage to deeper tissues, tendons, and joints may occur.

Additional Information on Pressure Sore Injury

Also see my other blogs on this topic:

Bedsore Stages

Pressure Injury Stages

Pressure Injuries

Pressure Sore Injury Neglect Attorney

If you have questions about nursing home abuse and neglect contact Kenneth LaBore who has handled dozens of very serious pressure sore and ulcer cases for a free consultation.  There is no fee unless there is a verdict or settlement offer from the wrongdoer.  Mr. LaBore can be reached directly at 612-743-9048 or toll free at 1-888-452-6589 or by email at


Pressure Sore Injury